A nurse is educating a client with mild pre-eclampsia about the signs and symptoms that she should report to her health care provider.

Which of the following should the nurse include? (Select all that apply.)

Sudden weight gain

Swelling of the face and hands

Epigastric pain

Decreased fetal movement

Vaginal bleeding

Answer and Explanation

Correct Answer : C,D

The correct answer is choice C and D. Epigastric pain and decreased fetal movement are signs of severe pre-eclampsia that indicate damage to the liver and placenta respectively. These symptoms should be reported to the health care provider immediately as they may lead to serious complications such as eclampsia, HELLP syndrome, placental abruption or fetal growth restriction.

Choice A is wrong because sudden weight gain is a common symptom of mild pre-eclampsia that does not necessarily require immediate attention. However, it should be monitored regularly along with blood pressure and urine protein levels.

Choice B is wrong because swelling of the face and hands is also a common symptom of mild pre-eclampsia that does not indicate severe organ damage. It may be caused by fluid retention or edema.

Choice E is wrong because vaginal bleeding is not a typical symptom of pre-eclampsia. It may be a sign of other pregnancy complications such as placenta previa, placental abruption or cervical infection.

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Correct Answer is C

Explanation

The client should not resume normal activities as soon as she gets home because she is still at risk for complications from preeclampsia.She should rest as directed by her healthcare provider and avoid strenuous activities that may increase her blood pressure.

Choice A is wrong because monitoring blood pressure at home is a recommended practice for clients who had preeclampsia.It can help detect any signs of worsening hypertension or organ damage.

Choice B is wrong because reporting any headache, vision changes, or abdominal pain to the doctor is a crucial step to prevent serious complications from preeclampsia.These symptoms may indicate damage to the brain, eyes, or liver and require immediate medical attention.

Choice D is wrong because continuing to take prenatal vitamins and iron supplements is beneficial for the client’s recovery and health.Prenatal vitamins can provide essential nutrients that may be lacking in the diet, and iron supplements can prevent or treat anemia that may result from blood loss during delivery.

A. To prevent seizures B. To lower blood pressure C. To increase urine output D. To improve placental perfusion

Correct Answer is B

Explanation

To lower blood pressure.Hydralazine is an antihypertensive drug that is used to treat severe hypertension in pre-eclampsia.It works by relaxing the blood vessels and reducing the resistance to blood flow.

This helps to lower the blood pressure and prevent complications such as stroke, kidney damage, or placental abruption.

Choice A is wrong because hydralazine does not prevent seizures.

Seizures are a symptom of eclampsia, a more severe form of pre-eclampsia.To prevent seizures, magnesium sulfate is usually given intravenously.

Choice C is wrong because hydralazine does not increase urine output.In fact, it may cause fluid retention and edema as a side effect.Diuretics are drugs that increase urine output, but they are not recommended for pre-eclampsia because they may worsen the condition by reducing blood volume and placental perfusion.

Choice D is wrong because hydralazine does not improve placental perfusion.

Placental perfusion is the blood flow to the placenta, which provides oxygen and nutrients to the fetus.

Placental perfusion may be impaired in pre-eclampsia due to abnormal development of the placental blood vessels.Hydralazine does not affect the placental blood vessels directly, but it may improve placental perfusion indirectly by lowering the maternal blood pressure and reducing the risk of abruption.

However, this is not the primary or expected outcome of hydralazine therapy.

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A nurse is educating a client with mild pre-eclampsia about the signs and symptoms that she should report to her health care provider. Which of the following should the nurse include? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a client who had pre-eclampsia and delivered a healthy baby. Which statement by the client indicates a need for further teaching?

Correct Answer is C

Explanation

A nurse is preparing to administer hydralazine to a client with severe pre-eclampsia who has a blood pressure of 170/110 mmHg. What is the expected outcome of this medication?

Correct Answer is B

Explanation

A nurse is caring for a client with mild pre-eclampsia who has a blood pressure of 150/95 mmHg, proteinuria of 400 mg/24 hours, and edema of the face and hands. Which intervention is the priority for this client?

A nurse is caring for a client with mild pre-eclampsia who has a blood pressure of 150/95 mmHg, proteinuria of 400 mg/24 hours, and edema of the face and hands. Which intervention is the priority for this client?

A nurse is preparing to administer hydralazine to a client with pre-eclampsia who has a blood pressure of 180/110 mmHg. What is the rationale for using this medication?

A nurse is assessing a client with pre-eclampsia who is receiving oxytocin for labor induction. Which finding would alert the nurse to suspect that the client is developing HELLP syndrome?

A nurse is reviewing the laboratory results of a client who has mild preeclampsia. Which of the following findings would indicate a need for further evaluation?

A nurse is assessing a client with severe pre-eclampsia who reports a severe headache and blurred vision. The nurse notes that the client has hyperreflexia with clonus. What is the most likely explanation for these findings?

A nurse is caring for a client with severe pre-eclampsia who is receiving magnesium sulfate. Which of the following findings would indicate magnesium toxicity and require immediate intervention?

A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate infusion. Which of the following assessments is most important for the nurse to monitor?

A nurse is educating a client with mild pre-eclampsia about the signs and symptoms that she should report to her health care provider.

Which of the following should the nurse include? (Select all that apply.)